Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1989 Feb;52(2):162–166. doi: 10.1136/jnnp.52.2.162

Histological differentiation of metastatic renal carcinoma in the cerebellum from cerebellar haemangioblastoma in von Hippel-Lindau's disease.

C A Clelland 1, C S Treip 1
PMCID: PMC1032500  PMID: 2467965

Abstract

Two cases of von Hippel-Lindau's disease with special reference to the occurrence of renal carcinoma are presented. The first case demonstrates the difficulty of differentiating cerebellar haemangioblastoma from metastatic renal carcinoma affecting the cerebellum. The valuable differentiating histological features were positive staining of metastatic renal carcinoma by antiepithelial membrane antigen (anti-EMA) and the demonstration of a distinct pattern of packeting of cells by staining reticulin fibres. Staining with periodic acid Schiff and cytokeratin antibody (anti-CK) were not found to be useful. The second case exhibits the wide variety of neoplasms which may be present in von Hippel-Lindau's disease. Special stains support the findings of the first case.

Full text

PDF
162

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andrew S. M., Gradwell E. Immunoperoxidase labelled antibody staining in differential diagnosis of central nervous system haemangioblastomas and central nervous system metastases of renal carcinomas. J Clin Pathol. 1986 Aug;39(8):917–919. doi: 10.1136/jcp.39.8.917. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Christenson P. J., Craig J. P., Bibro M. C., O'Connell K. J. Cysts containing renal cell carcinoma in von Hippel-Lindau disease. J Urol. 1982 Oct;128(4):798–800. doi: 10.1016/s0022-5347(17)53194-8. [DOI] [PubMed] [Google Scholar]
  3. Taxy J. B. Renal adenocarcinoma presenting as a solitary metastasis: contribution of electron microscopy to diagnosis. Cancer. 1981 Nov 1;48(9):2056–2062. doi: 10.1002/1097-0142(19811101)48:9<2056::aid-cncr2820480923>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES